Dr Jon M. Roberts Family Dentistry Pc

LBN: Dr Jon M. Roberts Family Dentistry Pc
Dr Jon M. Roberts Family Dentistry Pc is an health care organization with primary practice located at 2320 Northpark Suite C. , Columbus IN 47203-4482. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Dr Jon M. Roberts Family Dentistry Pc can be contacted via phone (812) 379-9561, or through Roberts, Jon M. via phone (812) 379-9561.

Contact Information

Primary practice address
2320 Northpark Suite C. Columbus IN 47203-4482
Phone: (812) 379-9561
Fax: (812) 372-8157
Website:
Map and Directions
Authorized official contact:
Name: Roberts, Jon M.
Phone: (812) 379-9561

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1952783722
LBN Legal business name Dr Jon M. Roberts Family Dentistry Pc
DBA Doing business as
Authorized official Roberts, Jon M.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2015
Last updated Jun 29th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952783722 NPPES
Indiana MEDICAID 100052120A

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